go back

Maine rates for HCPCS A4312

Insertion tray without drainage bag with indwelling catheter, Foley type, two-way, all silicone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $12.30 / $12.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $10.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.35 / $15.15 / $16.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $17.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $17.48 / $17.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $12.30 / $12.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $10.69 / $24.58